Individual provider Active NPI

Lori Ann Gics-Scerbo, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1437299633
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006581-1 Issued in NY
Practice address
25 Westchester SQ
Bronx, NY 10461-3545
Phone
(718) 597-6162
Fax
(718) 597-6168
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006581-1 NY Primary

Addresses

Primary practice location

25 Westchester SQ
Bronx, NY 10461-3545

Mailing address

25 Westchester SQ
Bronx, NY 10461-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000004 NY Practitioner - Optometry 7618138447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Cooper OD PCGroup PAC ID 8628042892, 13 clinicians

Practice addresses (Care Compare)

25 Westchester SQ
Bronx, NY 10461-3545
Phone (718) 597-6162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006581-1NYMDOptometrist
006581NYMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Cooper O.D., P.C. Optometrist CurrentSince Dec 26, 2023 Accepting new patients
Metro Optics Eyewear, Inc CurrentSince Jan 22, 2012 Accepting new patients
Jeffrey Cooper O.D., P.C. Optometrist Current Accepting new patients
Jeffrey Cooper OD PC CurrentSince Dec 26, 2023 Accepting new patients
Jeffrey Cooper O.D., P.C. Optometrist Past Accepting new patients
Jeffrey Cooper O.D., P.C. Optometrist Past Accepting new patients
Jeffrey Cooper O.D., P.C. Optometrist Past Accepting new patients

Locations

815 Hutchinson River Pkwy
Ste 797
Bronx, NY 10465
Phone (718) 569-5680

1332 Metropolitan Ave
Bronx, NY 10462
Phone (718) 828-6200

25 Westchester Sq
Bronx, NY 10461
Phone (718) 597-6162

815 Hutchinson River Pkwy
Bronx, NY 10465
Phone (718) 536-2690

1038 Southern Blvd
Bronx, NY 10459
Phone (718) 328-7137

161 S Central Ave
Hartsdale, NY 10530
Phone (914) 902-8845

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1437299633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WESTCHESTER SQ",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WESTCHESTER SQ",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613545",
            "telephone_number": "718-597-6162",
            "fax_number": "718-597-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GICS-SCERBO",
        "first_name": "LORI ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006581-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.